A systematic review of micro correlates of maternal mortality

Yakubu, Yahaya; Nor, Norashidah Mohamed; Abidin, Emilia Zainal

doi:10.1515/reveh-2017-0050

Cited by 10 publications

(11 citation statements)

References 41 publications

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“…Also, multiparity was associated with a higher frequency of unfavorable hospital discharge, with a higher proportion of stillbirths (64.5%) and maternal deaths (64.3%) in multiparous women. This observation has also been made by several authors, especially in West Africa and South Asia, but also elsewhere (25)(26)(27).…”

Section: Discussionsupporting

confidence: 82%

Factors associated with hospitalization outcomes for cases of anemia in pregnancy at a regional level in Burkina Faso

Ilboudo

Savadogo

Traoré

et al. 2021

Preprint

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Background The complications related to anemia in pregnancy are common in referral hospitals of Burkina Faso. This study aimed to analyze the hospital discharge results of cases of anemia for the mother-pregnancy entity at a regional level in Burkina Faso. Methods An hospital-based historical cohort study was conducted on anemia cases identified from hospital records of pregnant women admitted between 2009 and 2011 in the maternity wards of public referral hospitals of the “Cascades” region in Burkina Faso. The hospitalization result was favorable if it was satisfactory for both the mother and the pregnancy, and unfavorable in the other cases. The factors associated with unfavorable hospital discharge were identified through multivariable logistic regression. Results A total of 1815 cases of biological anemia in pregnancy were included in the study. The result of hospitalization for the mother-pregnancy entity was unfavorable in 42.6% of cases. The factors associated with unfavorable hospital discharge were rural residence (OR = 1.32; 95% CI: 1.00-1.74), evacuation cases (OR = 1.96; 95% CI: 1.48–2.60), 1st or 2nd trimester of pregnancy (OR = 2.74; 95% CI: 2.03–3.68), severe anemia (OR = 2.46; 95% CI: 1.75–3.46), moderate anemia (OR = 1.39; 95% CI: 1.05–1.85) and poor quality of anemia prevention (OR = 2.81; 95% CI: 1.62–4.88). The unfavorable hospital discharge was less frequent in women in couple (OR = 0.46; 95% CI: 0.26–0.84), in nulliparous and primiparous (OR = 0.69; 95% CI: 0.54–0.88). Age, income level and reason for admission were not associated with the unfavorable hospital discharge. Conclusion There was a high frequency of unfavorable hospital discharge of anemia cases for the mother-pregnancy entity in Burkina Faso. Multiple maternal factors were associated with these issues.

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Section: Discussionsupporting

confidence: 82%

Factors associated with hospitalization outcomes for cases of anemia in pregnancy at a regional level in Burkina Faso

Ilboudo

Savadogo

Traoré

et al. 2021

Preprint

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“…Most developing countries in Africa, including Senegal, have strong patriarchal tendencies, thus men exercise absolute control over women and control women’s fundamental health decisions and lifestyles. Therefore, measures to enhance women’s autonomy are actively sought [ 11 , 12 , 13 ]. For example, under Agenda 2063, which is being promoted by the African Union in relation to the SDGs to further the universal principles of women’s human rights and aim to achieve complete gender equality in all areas of life, efforts have been made to ensure quality education is provided to women [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…The illiteracy rate of women participating in this study was high at 65.2% in 2018 and 53.3% in 2019. According to previous studies, the mother’s education level is an important factor that has a significant influence on the medical service utilisation rate; the higher the education level, the higher the rate of prenatal examination and delivery at facilities [ 11 , 12 , 13 , 15 , 17 , 18 ]. Mothers with low educational attainment do not receive antenatal examinations, which prevent the early detection of complications that may occur during pregnancy and the opportunity for timely appropriate treatment is missed, resulting in increased disease morbidity [ 13 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

The Effects of the Maternal Health Improvement Project in the Louga Region of Senegal

Ndiaye¹,

Thiam²,

Ham

et al. 2021

IJERPH

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Maternal mortality remains a major global health challenge in sub-Saharan Africa. Senegal is one of the countries in the region that lagged behind in reaching the Millennium Development Goal 5, the deadline of which passed in 2015. The objective of this study was to assess the effects of information, education, and communication (IEC) activities conducted in Louga, Senegal. Community groups and facilitators conducted IEC campaigns, home visits, and various awareness-raising activities. This study used secondary data as part of the baseline and mid-term evaluations. Participants included women and men who had one or more children under five years of age. It was found that the level of awareness of at least three danger signs of pregnancy recognised by men significantly increased, and husbands/partners more frequently accompanied their wives during antenatal care in 2019 than in 2018. Women’s empowerment improved significantly in terms of women making their own health decisions, joining community decision-making associations or groups, and using contraception. This project indicates that policies and programs are needed to increase men’s involvement and empower women to further women’s reproductive health to achieve the Sustainable Development Goal 3 and reduce maternal mortality in Senegal.

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“…The existing review studies on determinants of maternal mortality are generally old, or are non-systematic reviews or only reviewed selected determinants [ 6 , 10 , 12 ]. Recently, only a few studies reviewed the determinants systematically, such as the study of Yakubu et al [ 13 ], but only focused on some micro determinants or other study on limited number of determinants [ 14 , 15 ]. Given that maternal death is a multidisciplinary phenomenon and different factors are involved, we tried to comprehensively review and overview all determinants, with no limitation, in high quality studies which would be of higher applicability for policymakers and researchers.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of individual and ecological determinants of maternal mortality in the world based on the income level of countries

2022

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Background This systematic review was conducted to map the literature on all the existing evidence regarding individual and ecological determinants of maternal mortality in the world and to classify them based on the income level of countries. Such a systematic review had not been conducted before. Methods We conducted an electronic search for primary and review articles using “Maternal Mortality” and “Determinant” as keywords or MeSH terms in their Title or Abstract, indexed in Scopus, PubMed, and Google with no time or geographical limitation and also hand searching was performed for most relevant journals. STROBE and Glasgow university critical appraisal checklists were used for quality assessment of the included studies. Data of the determinants were extracted and classified into individual or ecological categories based on income level of the countries according to World Bank classification. Results In this review, 109 original studies and 12 review articles from 33 countries or at global level met the inclusion criteria. Most studies were published after 2013. Most literature studied determinants of low and lower-middle-income countries. The most important individual determinants in low and lower-middle-income countries were location of birth, maternal education, any delays in health services seeking, prenatal care and skilled birth attendance. Household-related determinants in low-income countries included improved water source and sanitation system, region of residence, house condition, wealth of household, and husband education. Additionally, ecological determinants including human resources, access to medical equipment and facilities, total fertility rate, health financing system, country income, poverty rate, governance, education, employment, social protection, gender inequality, and human development index were found to be important contributors in maternal mortality. A few factors were more important in higher-income countries than lower-income countries including parity, IVF births, older mothers, and type of delivery. Conclusion A comprehensive list of factors associated with maternal death was gathered through this systematic review, most of which were related to lower-income countries. It seems that the income level of the countries makes a significant difference in determinants of maternal mortality in the world.

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A systematic review of micro correlates of maternal mortality

Cited by 10 publications

References 41 publications

Factors associated with hospitalization outcomes for cases of anemia in pregnancy at a regional level in Burkina Faso

Factors associated with hospitalization outcomes for cases of anemia in pregnancy at a regional level in Burkina Faso

The Effects of the Maternal Health Improvement Project in the Louga Region of Senegal

A systematic review of individual and ecological determinants of maternal mortality in the world based on the income level of countries

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